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psnet.ahrq.gov/issue/buying-wrong-medicine-overseas
August 22, 2007 - Newspaper/Magazine Article
Buying the wrong medicine overseas. … Citation Text:
Buying the wrong medicine overseas. Chase M.The Wall Street Journal. … Copy URL
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Buying the wrong … WebM&M Cases
Multiple Levels Involved in Prescribing the Wrong … Medication
September 30, 2020
Getting the wrong person's medicine at the pharmacy
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psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
September 01, 2015 - Good Night's Sleep Gone Wrong
Citation Text:
Gillis CM, Degrado J, Anger KE. … Good Night's Sleep Gone Wrong. PSNet [internet]. … Good Night's Sleep Gone Wrong. PSNet [internet]. … Good Night's Sleep Gone Wrong. PSNet [internet]. … Like Another
February 1, 2011
WebM&M Cases
Wrong
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psnet.ahrq.gov/issue/when-doctors-get-wrong-patient
December 14, 2016 - Newspaper/Magazine Article
When doctors get the wrong patient. … Citation Text:
When doctors get the wrong patient. Whitman E. Mod Healthc. September 25, 2016. … July 22, 2019
Hospitals collaborate to prevent wrong-site surgery. … July 10, 2013
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … December 22, 2010
Hospital tells of surgery on wrong side.
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psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014
July 27, 2023 - Study
Wrong-site surgery in California, 2007–2014. … Wrong-site surgery in California, 2007-2014. … This study found that between 2007 and 2014, there were 95 cases involving wrong-site surgeries, wrong-site … procedures, wrong procedures, and procedures performed on the wrong patient reported to the California … Wrong-site surgery in California, 2007-2014.
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - Slow Down: Right Drug, Wrong Formulation
Citation Text:
Amato MG, Schiff G. … Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. … Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. … Picking the wrong metoprolol. September 2008;7:1. [Available at] 16. … Slow Down: Right Drug, Wrong Formulation. PSNet [internet].
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psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
November 26, 2008 - Study
Classic
Operating room briefings and wrong-site surgery … Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. … Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. … site, wrong procedure, and wrong patient operations. … January 17, 2019
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong
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psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
September 30, 2010 - Study
Classic
Incidence, patterns, and prevention of wrong-site … Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. … October 1, 2016
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong … March 3, 2011
The wrong foot, and other tales of surgical error. … December 22, 2010
Operating room briefings and wrong-site surgery.
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psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
November 14, 2018 - Application of Human Error Theory in Case Analysis of Wrong Procedures. … Application of Human Error Theory in Case Analysis of Wrong Procedures. … March 29, 2023
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or … February 8, 2023
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient … Site, Wrong Procedure and Wrong Person Surgery.
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - Multiple Levels Involved in Prescribing the Wrong Medication
Citation Text:
Chin K, Chau … Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. … Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. … pended the wrong medication to the provider. … Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet].
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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - Wrong-Time Error With High-Alert Medication
Citation Text:
Yang A, Nelson LS. … Wrong-Time Error With High-Alert Medication. PSNet [internet]. … Wrong-Time Error With High-Alert Medication. PSNet [internet]. … Administration Wrong-time errors are the most prevalent administration errors.( 7,8 ) Although many … Wrong-Time Error With High-Alert Medication. PSNet [internet].
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psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
April 12, 2017 - Study
Automated detection of wrong-drug prescribing errors. … Automated detection of wrong-drug prescribing errors. … Automated detection of wrong-drug prescribing errors. … October 10, 2018
Indication-based prescribing prevents wrong-patient medication errors … Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient
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psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons
March 09, 2022 - Study
The prevalence of wrong level surgery among spine surgeons. … The prevalence of wrong level surgery among spine surgeons. … This study surveyed more than 400 neurosurgeons and found that 50% reported performing a wrong level … The prevalence of wrong level surgery among spine surgeons. … Spinal Epidural Abscess
August 8, 2019
The occurrence of wrong-site
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psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience
July 18, 2018 - Newspaper/Magazine Article
Wrong-site orthopedic operations on the extremities: the … April 6, 2016
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … March 29, 2012
The pain of wrong site surgery. … July 6, 2011
Wrong body part, wrong patient surgeries continue despite new procedures … June 8, 2011
The wrong foot, and other tales of surgical error.
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psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
November 16, 2022 - Study
Wrong-site craniotomy: analysis of 35 cases and systems for prevention. … Wrong-site craniotomy: analysis of 35 cases and systems for prevention. … Wrong-site craniotomy: analysis of 35 cases and systems for prevention. … —An OR Fire
April 1, 2015
Wrong-site and wrong-patient procedures in the Universal … July 23, 2010
Avoiding wrong site surgery: a systematic review.
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - Wrong-side surgery is a surgical procedure that involves operating on the wrong extremity or wrong side … Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. … Wrong Site All surgical procedures performed on the wrong body part or wrong patient. … Often used as a general term for wrong level or part, wrong patient, and wrong side surgery. … Site, Wrong Procedure and Wrong Person Surgery.
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psnet.ahrq.gov/issue/serious-hazards-transfusion-evaluating-dangers-wrong-patient-autologous-salvaged-blood
May 11, 2022 - Commentary
Serious hazards of transfusion: evaluating the dangers of a wrong patient … Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in … Wrong-patient transfusion errors can lead to serious patient harm. … Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in … March 2, 2022
Wrong-patient blood transfusion error: leveraging technology to overcome
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psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
November 19, 2014 - Book/Report
Classic
When Things Go Wrong: Responding to … Citation Text:
When Things Go Wrong: Responding to Adverse Events. … Copy URL
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When Things Go Wrong
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psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
July 16, 2015 - Study
Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … May 6, 2015
Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis … September 15, 2010
Wrong site surgery near misses and actual occurrences.
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psnet.ahrq.gov/primer/never-events
June 15, 2024 - site Surgery or other invasive procedure performed on the wrong patient Wrong surgical or other invasive … drug, wrong dose, wrong patient, wrong time, wrong rate, wrong preparation, or wrong route of administration … Since February 2009, CMS has not paid for any costs associated with wrong-site surgeries . … , Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024
Editor's Picks
Sentinel … , Wrong-Procedure, and Wrong-Patient Surgery
December 15, 2024
Identifying
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psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
June 01, 2022 - Study
Health information technology-related wrong-patient errors: context is critical … Citation Text:
Health information technology-related wrong-patient errors: context is critical. … This study analyzed the processes of care involved in 1,189 wrong-patient events. … reached the patient, most commonly involving inappropriate medication administration or receiving the wrong … The authors recommend several strategies for reducing wrong-patient errors.